{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T11:45:24Z","timestamp":1780573524003,"version":"3.54.1"},"reference-count":34,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2022,2,28]],"date-time":"2022-02-28T00:00:00Z","timestamp":1646006400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Current Oncology"],"abstract":"<jats:p>Purpose: to determine management problems of ovarian masses in girls in order to form a baseline for prospective randomized studies of the established topics and quality improvement of our management. Materials and Methods: We performed a national analysis of clinical aspects of ovarian masses in girls operated on in Poland, analyzed retrospectively medical files of all consecutive patients aged 0\u201318 who underwent surgeries for ovarian lesions between 2012 and 2017 at 17 pediatric surgical departments and complemented the analysis with a scoping review of a recent primary research related to ovarian masses in children. Results: The study group comprised 595 patients. Forty-four (7.39%) girls were diagnosed with malignant tumors. The overall preservation rate was 64.54%. The analysis revealed that positive tumor markers (OR = 10.3), lesions larger than 6 cm (OR = 4.17) and solid mass on ultrasound examination (OR = 5.34) are interdependent variables differentiating malignant tumors from non-malignant lesions (X42 = 79.1; p = 0.00000). Our scoping review revealed 10 major branches of research within the topic of ovarian masses in pediatric population. Conclusions: We have developed an overview of the field with the emphasis on the local environment. Our next step is a multi-institutional prospective study of a quality improvement project implementation based on the obtained knowledge.<\/jats:p>","DOI":"10.3390\/curroncol29030125","type":"journal-article","created":{"date-parts":[[2022,2,28]],"date-time":"2022-02-28T20:09:57Z","timestamp":1646078997000},"page":"1488-1500","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["What Should Be the Topics of a Prospective Study on Ovarian Masses in Children?\u2014Results of a Multicenter Retrospective Study and a Scoping Literature Review"],"prefix":"10.3390","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7984-2996","authenticated-orcid":false,"given":"Justyna","family":"\u0141uczak","sequence":"first","affiliation":[{"name":"Pediatric Surgery and Urology Department, Wroclaw Medical University, 50-367 Wroc\u0142aw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maciej","family":"Bag\u0142aj","sequence":"additional","affiliation":[{"name":"Department of Propedeutic of Pediatrics and Rare Diseases, Wroclaw Medical University, 50-367 Wroc\u0142aw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piotr","family":"Dryja\u0144ski","sequence":"additional","affiliation":[{"name":"Pediatric Surgery and Urology Department, Wroclaw Medical University, 50-367 Wroc\u0142aw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicja","family":"Kalcowska","sequence":"additional","affiliation":[{"name":"Pediatric Surgery and Urology Department, Wroclaw Medical University, 50-367 Wroc\u0142aw, Poland"},{"name":"Pediatric Surgery Department, Dolno\u015bl\u0105ski Szpital Specjalistyczny im. T. Marciniaka, 54-049 Wroc\u0142aw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nastazja","family":"Banaszyk-Puca\u0142a","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Urology and Traumatology, Poznan University of Medical Sciences, 61-701 Pozna\u0144, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Boczar","sequence":"additional","affiliation":[{"name":"Clinic of Pediatric Surgery, Institute of Mother and Child, 01-211 Warszawa, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krzysztof","family":"Dymek","sequence":"additional","affiliation":[{"name":"Department of General and Oncological Pediatric Surgery for Children and Adolescents, Nicolaus Copernicus University, Ludwik Rydygier Collegium Medicum, 85-067 Bydgoszcz, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ma\u0142gorzata","family":"Fryczek","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Jagiellonian University Medical College, 31-008 Krak\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5870-9464","authenticated-orcid":false,"given":"Kaja","family":"Gi\u017cewska-Kacprzak","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Oncological Surgery, Urology and Hand Surgery, Pomeranian Medical University, 70-204 Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wojciech","family":"G\u00f3recki","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Jagiellonian University Medical College, 31-008 Krak\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrzej","family":"Grabowski","sequence":"additional","affiliation":[{"name":"Department of Children Developmental Defects and Traumatology, Medical University of Silesia, 40-055 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Gregor","sequence":"additional","affiliation":[{"name":"Pediatric Surgery and Urology Department, Zielona G\u00f3ra Medical University, 65-046 Zielona G\u00f3ra, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Jab\u0142o\u0144ska","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Organ Transplantation, The Children\u2019s Memorial Health Institute, 04-730 Warszawa, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7183-7711","authenticated-orcid":false,"given":"Grzegorz","family":"Kowalewski","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Organ Transplantation, The Children\u2019s Memorial Health Institute, 04-730 Warszawa, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magdalena","family":"Lewandowska","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Oncology, Central University Hospital, Medical University of Lodz, 90-647 \u0141\u00f3d\u017a, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Ma\u0142owiecka","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Children\u2019s Hospital in Dziekan\u00f3w Le\u015bny, 05-092 Dziekan\u00f3w Le\u015bny, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Ogorza\u0142ek","sequence":"additional","affiliation":[{"name":"Pediatric Surgery and Urology Clinic, Medical College of Rzesz\u00f3w University, 65-959 Rzesz\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6882-8213","authenticated-orcid":false,"given":"Magdalena","family":"P\u0119kalska","sequence":"additional","affiliation":[{"name":"Chair and Department of Pediatric Surgery and Traumatology, Medical University of Lublin, 20-059 Lublin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3338-3023","authenticated-orcid":false,"given":"Aneta","family":"Piotrowska-Gall","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Urology and Traumatology, Collegium Medicum, Jan Kochanowski University, 25-369 Kielce, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mateusz","family":"Por\u0119bski","sequence":"additional","affiliation":[{"name":"Pediatric Surgery and Urology Clinic, Medical University of Silesia, 40-055 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marek","family":"Siewi\u0144ski","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Opole University Hospital, 45-052 Opole, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4583-5517","authenticated-orcid":false,"given":"Dariusz","family":"Patkowski","sequence":"additional","affiliation":[{"name":"Pediatric Surgery and Urology Department, Wroclaw Medical University, 50-367 Wroc\u0142aw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,2,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2231","DOI":"10.1016\/j.jpedsurg.2017.11.068","article-title":"Controversies in the management of ovarian tumours in prepubertal children\u2014A BAPS and UK CCLG Surgeons Cancer Group National Survey","volume":"53","author":"Braungart","year":"2018","journal-title":"J. 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